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Open AccessArticle

An Intraoral OCT Probe to Enhanced Detection of Approximal Carious Lesions and Assessment of Restorations

1
Department of Cariology, Endodontology and Periodontology, University of Leipzig, 04103 Leipzig, Germany
2
Institut für Biomedizinische Optik, Universität zu Lübeck, 23562 Lübeck, Germany
3
Medizinisches Laserzentrum Lübeck GmbH, 23562 Lübeck, Germany
4
Airway Research Center North (ARCN), German Center for Lung Research (DZL), 23562 Lübeck, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(10), 3257; https://doi.org/10.3390/jcm9103257
Received: 2 September 2020 / Revised: 2 October 2020 / Accepted: 5 October 2020 / Published: 12 October 2020
(This article belongs to the Section Stomatology)
Caries, the world’s most common chronic disease, remains a major cause of invasive restorative dental treatment. To take advantage of the diagnostic potential of optical coherence tomography (OCT) in contemporary dental prevention and treatment, an intraorally applicable spectral-domain OCT probe has been developed based on an OCT hand-held scanner equipped with a rigid 90°-optics endoscope. The probe was verified in vitro. In vivo, all tooth surfaces could be imaged with the OCT probe, except the vestibular surfaces of third molars and the proximal surface sections of molars within a "blind spot" at a distance greater than 2.5 mm from the tooth surface. Proximal surfaces of 64 posterior teeth of four volunteers were assessed by intraoral OCT, visual-tactile inspection, bitewing radiography and fiber-optic transillumination. The agreement in detecting healthy and carious surfaces varied greatly between OCT and established methods (18.2–94.7%), whereby the established methods could always be supplemented by OCT. Direct and indirect composite and ceramic restorations with inherent imperfections and failures of the tooth-restoration bond were imaged and qualitatively evaluated. The intraoral OCT probe proved to be a powerful technological approach for the non-invasive imaging of healthy and carious hard tooth tissues and gingiva as well as tooth-colored restorations. View Full-Text
Keywords: OCT; intraoral probe; carious lesions; caries diagnosis; dental restorations OCT; intraoral probe; carious lesions; caries diagnosis; dental restorations
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Schneider, H.; Ahrens, M.; Strumpski, M.; Rüger, C.; Häfer, M.; Hüttmann, G.; Theisen-Kunde, D.; Schulz-Hildebrandt, H.; Haak, R. An Intraoral OCT Probe to Enhanced Detection of Approximal Carious Lesions and Assessment of Restorations. J. Clin. Med. 2020, 9, 3257.

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